The Impact of Computerized Provider Order Entry Systems on Inpatient Clinical Workflow: A Literature Review

被引：129

作者：

Niazkhani, Zahra ^{[1
]}

Pirnejad, Habibollah ^{[1
]}

Berg, Marc ^{[1
]}

Aarts, Jos ^{[1
]}

机构：

[1] Erasmus Univ, Med Ctr, Inst Hlth Policy & Management, NL-3000 DR Rotterdam, Netherlands

来源：

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION | 2009年 / 16卷 / 04期

关键词：

ACADEMIC MEDICAL-CENTER; HEALTH-CARE; UNINTENDED CONSEQUENCES; INFORMATION-SYSTEMS; DIFFERENT OUTCOMES; IMPLEMENTATION; SATISFACTION; TECHNOLOGY; FRAMEWORK; COGNITION;

D O I：

10.1197/jamia.M2419

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Previous studies have shown the importance of workflow issues in the implementation of CPOE systems and patient safety practices. To understand the impact of CPOE on clinical workflow, we developed a conceptual framework and conducted a literature search for CPOE evaluations between 1990 and June 2007. Fifty-one publications were identified that disclosed mixed effects of CPOE systems. Among the frequently reported workflow advantages were the legible orders, remote accessibility of the systems, and the shorter order turnaround times. Among the frequently reported disadvantages were the time-consuming and problematic user-system interactions, and the enforcement of a predefined relationship between clinical tasks and between providers. Regarding the diversity of findings in the literature, we conclude that more multi-method research is needed to explore CPOE's multidimensional and collective impact on especially collaborative workflow.

引用

页码：539 / 549

页数：11

共 98 条

[1] Aarts J, 2006, METHOD INFORM MED, V45, P53
[2] Extending the understanding of computerized physician order entry: Implications for professional collaboration, workflow and quality of care
Aarts, Jos
Ash, Joan
Berg, Marc
[J]. International Journal of Medical Informatics, 2007, 76 (SUPPL. 1) : S4 - S13
[3] Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients
Ali, NA
Mekhjian, HS
Kuehn, PL
Bentley, TD
Kumar, R
Ferketich, AK
Hoffmann, SP
[J]. CRITICAL CARE MEDICINE, 2005, 33 (01) : 110 - 114
[4] AMMENWERTH A, 2005, BASED INVENTORY EVAL
[5] AMMENWERTH A, 1982, BASED INVENTORY EVAL
[6] AMMENWERTH A, 2006, BASED INVENTORY EVAL
[7] [Anonymous], P 1998 ACM C COMP SU
[8] The extent and importance of unintended consequences related to computerized provider order entry
Ash, Joan S.
Sittig, Dean F.
Poon, Eric G.
Guappone, Kenneth
Campbell, Emily
Dykstra, Richard H.
[J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2007, 14 (04) : 415 - 423
[9] Ash JS, 1999, J AM MED INFORM ASSN, P471
[10] A consensus statement on considerations for a successful CPOE implementation
Ash, JS
Stavri, PZ
Kuperman, GJ
[J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2003, 10 (03) : 229 - 234

← 1 2 3 4 5 6 7 8 9 10 →